PINK, R., Zdeněk DVOŘÁK, P. HEINZ, P. MICHL and P. TVRDÝ. Indication and importance of reconstructive surgeries of facial skeleton in maxillofacial surgery: Review. Acta chirurgiae plasticae. Praha: Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s., 2020, vol. 62, 1-2, p. 29-39. ISSN 0001-5423.
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Basic information
Original name Indication and importance of reconstructive surgeries of facial skeleton in maxillofacial surgery: Review
Authors PINK, R., Zdeněk DVOŘÁK (203 Czech Republic, guarantor, belonging to the institution), P. HEINZ (203 Czech Republic), P. MICHL (203 Czech Republic) and P. TVRDÝ (203 Czech Republic).
Edition Acta chirurgiae plasticae, Praha, Česká lékařská společnost J. E. Purkyně, z.s./Mladá fronta a.s. 2020, 0001-5423.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30212 Surgery
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/20:00121744
Organization unit Faculty of Medicine
Keywords in English Flap; Free flap; Head and neck surgery; Pedicled flap
Tags rivok
Tags Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 10/6/2021 11:35.
Abstract
Malignant head and neck tumors belong among common diseases and their incidence constantly rises. In the Czech Republic, the proportional representation of orofacial tumors ranges around 2% of the total number of malignancies. Rational treatment of these tumors is complex and long. In the course of therapeutic planning, you have to consider the age of the patient and the stage of the disease including the presence of distant metastases. Removal of the tumor with a sufficient safety margin and an eventual treatment of the relevant lymphatic system according to the type of the tumor is an important prerequisite for the success of the surgical therapy. Reconstructive procedures in maxillofacial oncosurgery presume good interdisciplinary cooperation and a high professional preparedness of the surgical and nursing team. Selection of the right patient is also very important with regard to the risks of both local and systemic postoperative complications. Use of the free flap techniques is currently the gold standard, but it is also necessary to master pedicled flap techniques, whose advantages lie in simpler technique and often better aesthetic results. At the same time, we have to realize that even traditional, classical reconstructive procedures using prosthetic replacements can still represent the ideal solution in many cases.
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